As the world goes through one of the most turbulent periods in its recent history, the health, social & economic consequences associated with 'post-conflict disability' arising through major limb loss (MLL) has gained importance as a significant public health issue. Our preliminary observations and community engagement activities in two post-conflict societies - the Sub-Acholi Region in Northern Uganda and Northern/Eastern provinces in Sri Lanka, have demonstrated this to be an under-appreciated complex and multi-faceted problem characterised by: a: Lack of suitable services capable of addressing the complex needs of the affected populations b:Inability of the affected population to access the existing services due to poor transport links, poverty and ignorance. c: Ad-hoc service development using non-sustainable funding sources at the time (or the immediate aftermath) of the conflict with inadequate characterisation of the needs of the local population. d: Social-cultural factors and belief systems that adversely affect the day-to-day experiences of the victims and prevent their reintegration into the society. Influencing and engaging with future policy making in this field therefore requires an integrated approach involving multi-disciplinary teams. This proposal aims to bring together the 'Humanitarian and Conflict Response Institute (HCRI)' - an institution specialising in global health and 'In Place of War (IPOW)'- an organisation with expertise in conducting cultural programmes in post conflict settings, to focus on the multi-faceted problem of disability associated with MLL in two post-conflict societies - Uganda and Sri Lanka. The project will link HCRI and IPOW with Gulu Medical Faculty (GMF)-established specifically to address the health needs of Northern Uganda, the 'Gulu Referral Orthopaedic Workshop (GROW)' - the only centre providing prosthetic limb services in Gulu district in Northern Uganda, and 'Meththa Foundation UK' (MF)-a charity that pioneered prosthetic services in post-war Sri Lanka using recycled components from the UK and an innovative outreach model for service delivery. The involvement of Geographical Information Scientists (GIS) from University of Manchester (UOM), surgeons/public health officials from Northern Uganda and the Uganda-UK Health Alliance (UUHA) - the official intergovernmental body with a mandate to create sustainable partnerships between the two countries, will strengthen the proposed network. Research output from this network will: a. Evaluate the impact of arts and social theatre in challenging entrenched cultural views and bias associated with MLL b: Highlight the harm caused by ad-hoc service development in conflict environments c: Provide the forum, pilot data, policy options and critical appraisals of delivery systems in low-middle income countries to deal with the rising tide of MLL cost-effectively d: Fabricate and deliver 50 prosthetic limbs using an outreach service delivery model (successfully implemented in post-war Sri Lanka) and assess its suitability, acceptability and cost effectiveness in Northern Uganda. The partnership will also create a quality assured environment where UK based professionals and students will be able to undertake short/long term volunteering and student placements with mutual benefits to both countries. The involvement of UUHA and Health Education England (HEE) as project partners creates a window of opportunity to champion the cause of disabled people in the region (and the UK) by influencing training, research, policy making and funding priorities. We submit that the policy documents, particularly those in relation to the feasibility/desirability of outreach prosthetic services in LMICs, will have wider applications in service planning in many other post-conflict societies in Asia, the Middle east, and Africa

Understanding human behaviour and how it shapes organisations, communities and societies is needed to address global challenges such as the environmental, economic and health crises that we face now and in the future. Currently, behavioural research is not well coordinated in the UK. It also doesn't always ask the right research questions, involve people with the best skills, make good use of existing data, take advantage of innovative research methods or produce findings that can be used to make positive changes. The Behavioural Research UK Leadership Hub (BR-UK) will change this. BR-UK brings together a team from England, Scotland, Wales and Northern Ireland that includes experienced researchers from many different backgrounds and partners from government, the wider public sector, charities and businesses. We will work with communities to better understand behaviour and conduct research to improve lives and livelihoods. BR-UK will deliver a detailed work programme for the first 18 months. At the same time, we will expand our initial plans for the longer term to be reviewed by the funder, the Economic and Social Research Council (ESRC). In the first 18 months, we will: - Carry out a scoping study to look at needs, priorities and opportunities for behavioural research and set up a national network of researchers and research users - Determine how behavioural research can be more sustainable to make the best use of available funding - Identify (with our international advisory board) under-used global evidence as well as methods and theories to improve behavioural research excellence - Conduct 'demonstration projects' to show how the team can work together to use existing data and speed up the application of models and frameworks to provide rapid results. Topics include how behavioural advice was used during the Covid-19 pandemic, how we address some current issues like speeding on our roads, how to combine large amounts of data more efficiently and how well public support for different policies to help tackle climate change can be transferred between countries - Set up & test a responsive-mode consultancy service where organisations can ask questions about how behavioural research could help them with their policies or practices, and be matched to team members with relevant expertise. Looking ahead, BR-UK will organise our work around four Work Packages (WPs) and Themes (T). Work Packages are about HOW we will do things, and our Themes are about WHAT we will focus on. These are: WP1: Capability Building; WP2: Data and Technology; WP3: Methods and Evidence Synthesis; WP4: Engagement and Involvement; T1: Environment and Sustainability; T2: Health and Wellbeing; T3: Resilient Communities: and T4: Organisations, Markets and the Economy. We will conduct new studies across WPs and Themes. Examples of research questions to illustrate the range are: how to better use mobile phone technologies to engage people long-term to stop smoking or reduce their alcohol consumption; how to help regulators and the police keep children safer online and tackle internet crime; how to help people and organisations shift to transport that is better for the environment; how best to work with local and national governments to better understand the needs of their local communities when making policy decisions. As a Leadership 'Hub', BR-UK will work with other parts of the programme ('spokes' including a centre to train students and early career researchers as they develop. We will be flexible, and reserve part of the funding that could lead to new studies when sudden events like a new threat, emergency or event occur. We are well positioned to carry out rapid reviews of existing research to help governments and organisations know what behavioural evidence exists to inform decisions, and to identify evidence gaps. We will be ready to adapt and bring in new members with skills and experience that are most needed as BR-UK evolves.

The communities and neighbourhoods where we grow up have a lifelong influence on the illnesses we get and how long we live. Health is about avoiding disease and having a long life, but is also about feeling well in mind and body, feeling safe, being part of a community and having things to look forward to. Many aspects of the world around us influence our health directly or influence health related behaviours. These so called "broader" determinants of health include the houses and flats we live in, the design of our roads and high streets, the availability and quality of parks, green spaces, libraries, galleries, museums, sports and recreational facilities, entertainment opportunities, places and events to connect with others, the shops and businesses around us, pollution levels, learning opportunities, the jobs available to us and whether we have enough money to make ends meet and to participate in social activities. Attempts to change health related behaviours such as unhealthy eating, drinking, smoking and lack of exercise, have met with important but limited success. For example, increased awareness of links between childhood obesity and ill health and the importance of exercise and healthy diet will have limited success if broader determinants are not also tackled. These broader determinants include, but are not limited to, the many fast food outlets that children may walk past, lack of access to high quality play and recreational facilities, sell off of school playing fields, streets that are not safe for children to walk or cycle to school, lack of high quality green spaces for exercise, shops with poor choice of healthy foods, increased screen time replacing physical activity, poor quality of school food, and, for some, insufficient income to buy healthy food. Our ActEarly approach focuses on improving the health of children in two contrasting areas with high levels of child poverty, Bradford in Yorkshire and Tower Hamlets in London. In preparation for this work we have worked with local communities, local authorities and other local organisations and have established shared priority areas for research: Healthy Places, Healthy Learning and Healthy Livelihoods. We have brought together experts in these themes with local community and local authority representatives to begin to develop a range of approaches to improving child health across these areas. For example, within our Healthy Places theme we will work together to: map local community assets and to understand how they can be improved and used by more people; develop a Healthy Streets approach and improve green space quality. In our Healthy Learning theme we will work together to develop local "Evidence Active Networks" of pre-school, school and community learning venues. These networks will help develop and evaluate a wide range of approaches to improve child health. In our Healthy Livelihoods theme we will work together on approaches such as relocation of welfare advice services to improve access, enabling parental leave, ensuring a minimum basic income in school leavers, providing life skills training and involving local communities in decisions on how to spend local authority budgets. To understand the effect of these approaches on child health we will develop strong data resources that bring together existing information from across our localities to measure changes in the local environment, health related behaviours and health outcomes. Teams of researchers will use this data and work with local communities to understand how successful our initiatives have been. We describe our emphasis on early life interventions, our highly collaborative approach and development of local data sources to enable evaluation of multiple initiatives, as the "ActEarly Collaboratory". We hope the approach will promote a fairer and healthier future for children and a global example of how to work with communities to improve health.

The Northern Health Futures (NortHFutures) hub aims to create a world-leading healthcare technology (health-tech) development ecosystem. This will address unmet health needs and inequalities by supporting: inclusive digital skills training and sharing; research, innovation and entrepreneurship, enabled by digital design. Based in the North East and North Cumbria (NENC), with national and global reach, NortHFutures will support underserved communities, as it is known that national disparity of investment in NENC negatively impacts population health and wellbeing, and that a 'levelling up' of investment is needed to stimulate socio-economic and cultural growth for all, to encourage living and ageing well. NortHFutures builds upon the joined-up NENC approach to people-powered digital health innovation, as our regional Integrated Care Board (ICB) uniquely involves local authorities, communities, and citizens. Academic team members have a research track record that is stakeholder-involved and civic- and community-engaged. They are world-leading on understanding (i) health inequalities from medical, social, and design perspectives, and (ii) the opportunities for enrichment and enablement related to ageing well, connecting rural and urban populations, and pioneering applications of data science. In the pilot phase, we draw on this specialist expertise to address evidenced unmet health needs in NENC, (which have national and global importance): children and young people's health and nutrition; mental health and wellbeing; development of digital surgical pathways (for monitoring patient journeys beyond the hospital); living well with multiple long-term conditions. We combine the strengths and resources of 6 universities (Newcastle, Cumbria, Durham, Northumbria, Sunderland and Teesside), bringing regional investment in NIHR services, facilities and Applied Research Collaborations, plus National Innovation Centres for Ageing (NICA), Data (NICD) and Rural Enterprise (NICRE), National Horizons Centre (NHC), EPSRC Digital Economy programmes in data and digital citizens, and Health Data Research UK, the UK's national institute for health data science. NortHFutures supports new planned Centres, including Northumbria's Centre for Health & Social Equity and Cumbria's new campus and medical school. These University offers combine with an extensive partner network, including: ICB-NENC, 7 NHS Trusts, NHS Business Services Authority, Department of Health and Social Care, Health Education England; VCSE organisations delivering community-based services; industry partners - from SMEs to global tech giants; civic bodies such as Local and Combined Authorities; existing health research networks (e.g. AHSN-NENC, Newcastle Health Innovation Partnership); and innovation accelerators (e.g. Innovation SuperNetwork). Through an integrated, regional approach uniting this consortium for the first time, NortHFutures ambitiously aims to establish global leadership in Digital Health. To deliver this we will develop a supportive community infrastructure. We will co-design a digital brokerage service to connect and amplify partners' work, to offer and consume expertise, services and facilities (supporting acceleration of health-tech companies at differing tech-readiness levels). We will pioneer a Live Digital Health Databank, to explore, and train for, advanced healthcare data analytics, combining live data flows with care records (e.g. Great North Care Record). This will support personalised health diagnostics and interventions, giving our hub a unique value proposition to companies wishing to explore advanced data technologies. We will invest in Extended Reality pilots, to open up possibilities for clinical practice and service delivery. Our approaches will embed Responsible Research and Innovation (RRI), and Patient and Public Engagement (PPIE) throughout, to deliver health-tech that supports care beyond the hospital and is co-designed with end-users.

Policing is undergoing rapid transformation. As societies face new and more complex challenges, police workloads increasingly focus on managing risks of harm to vulnerable people. At the same time, public debate voicing concerns about police priorities is rising, driven by questions about what the police do and about legitimacy in the face of discriminatory practices. Dramatic increases in complex cases coupled with cuts to public services have resulted in the police frequently acting as 'the service of first resort', at the frontline of responding to urgent social problems such as mental illness, homelessness and exploitation. The presence of such vulnerabilities draw the police into responses alongside other service providers (such as health, social care and housing) often with little clarity of roles, boundaries or shared purpose. Simultaneously, the transformation of data and its use are beginning to reshape how public services operate. They raise new questions about how to work in ethical ways with data to understand and respond to vulnerability. These shifts in police-work are mirrored around the world and pose significant challenges to how policing is undertaken and how the police interact with other public services, as well as how policing affects vulnerable people who come into contact with services. The Vulnerability and Policing Futures Research Centre aims to understand how vulnerabilities shape demand for policing and how partner organisations can prevent future harm and vulnerability through integrated public service partnerships. Rooted in rich local data collection and deep dives into specific problems, the Centre will build a knowledge base with applications and implications across the UK and beyond. It will have significant reach through collaborative work with a range of regional, national and international partners, shaping policy and practice through networks, practitioner exchanges and comparative research, and through training the next generation of scholars to take forward new approaches to vulnerabilities research and co-production with service providers, service receivers and the public. The Centre will be an international focal point for research, policy, practice and public debate. Jointly led by York and Leeds, with expertise from Durham, Lancaster, Liverpool, Manchester, Sheffield, UCL, Monash and Temple universities and the Police Foundation, and working with a network of 38 partners, it will explore fundamental questions regarding the role police and their partners should play in modern society. While focusing policing effort on the most vulnerable holds promise for a fairer society, targeting specific groups raises questions about who counts as vulnerable and has the potential to stigmatise and increase intervention in the lives of marginalised citizens. At a critical time of change for policing, the Centre will ensure that research, including evidence drawing on public opinion and the voices of vulnerable people, is at the heart of these debates. The Centre will undertake three interconnected strands of research. The first focuses on how vulnerability develops in urban areas, drawing together diverse public sector datasets (police, health, social services and education) to understand interactions between agencies and the potential to prevent vulnerabilities. The second explores how police and partners can best collaborate in response to specific vulnerabilities, including exploitation by County Lines drug networks, online child sexual exploitation, domestic abuse, modern slavery, mental illness and homelessness. The third will combine research into public opinion with a programme to embed research evidence into policy, practice and public debate, creating a new understanding of vulnerability and transforming capability to prevent harm and future vulnerabilities through integrated partnership working, reshaping the future of policing as a public service.